Individual
ALAN EUGEAN WALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4145 KAMMER AVE, DAYTON, OH 45417-1126
(937) 361-9248
Mailing address
4145 KAMMER AVE, DAYTON, OH 45417-1126
(937) 361-9248
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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